TY - JOUR
T1 - Functional outcomes in proximal humerus fractures
T2 - A prospective registry-based analysis
AU - Ahmad, Tashfeen
AU - Muhammad, Zehra Abdul
AU - Haroon, Amna
N1 - Funding Information:
Funding Disclosure: The study was supported by the Aga Khan University Hospital, Department of Surgery, from May 2015 to February 2019. From March 2019, Project No. AOTME-R-2016-010 was supported by AO Foundation, Switzerland.
Publisher Copyright:
© 2021 Pakistan Medical Association. All rights reserved.
PY - 2021/7
Y1 - 2021/7
N2 - The present study evaluated and compared functional outcomes of proximal humerus fractures of different categories and their management with different procedures. Data of this prospective cohort was obtained from the orthopaedic trauma registry at a tertiary care hospital for the period from June 2015 to October 2019. Sixty-eight adult patients with proximal humerus fracture were identified out of which 57 (84%) had been operated. Functional outcomes were assessed up to 12-month follow-ups and were compared with different treatment groups, fracture category, and between isolated versus proximal humerus with additional upper limb fractures. At 3-month follow-up, there was significantly better outcomes in Proximal Humeral Internal Locking System (PHILOS) treatment group as compared to PHILOS with bone graft/BMP (p=0.041). PHILOS combined with bone graft/BMP was associated with delayed recovery compared to other management methods. There was non-significant difference in functional outcomes between isolated versus proximal humerus fractures associated with other upper limb fractures, among different fracture categories and between genders.
AB - The present study evaluated and compared functional outcomes of proximal humerus fractures of different categories and their management with different procedures. Data of this prospective cohort was obtained from the orthopaedic trauma registry at a tertiary care hospital for the period from June 2015 to October 2019. Sixty-eight adult patients with proximal humerus fracture were identified out of which 57 (84%) had been operated. Functional outcomes were assessed up to 12-month follow-ups and were compared with different treatment groups, fracture category, and between isolated versus proximal humerus with additional upper limb fractures. At 3-month follow-up, there was significantly better outcomes in Proximal Humeral Internal Locking System (PHILOS) treatment group as compared to PHILOS with bone graft/BMP (p=0.041). PHILOS combined with bone graft/BMP was associated with delayed recovery compared to other management methods. There was non-significant difference in functional outcomes between isolated versus proximal humerus fractures associated with other upper limb fractures, among different fracture categories and between genders.
KW - Outcomes
KW - Proximal humerus fracture
KW - Quick DASH
KW - Trauma
KW - Treatment approaches
UR - http://www.scopus.com/inward/record.url?scp=85109473947&partnerID=8YFLogxK
U2 - 10.47391/JPMA.04-600
DO - 10.47391/JPMA.04-600
M3 - Article
C2 - 34410263
AN - SCOPUS:85109473947
SN - 0030-9982
VL - 71
SP - 1870
EP - 1871
JO - JPMA. The Journal of the Pakistan Medical Association
JF - JPMA. The Journal of the Pakistan Medical Association
IS - 7
ER -